The Relationship Between Depressive Symptoms and Psychological Variables in Patients With Schizophrenia.

IF 1.3 4区 医学 Q3 PSYCHIATRY Journal of Psychiatric Practice Pub Date : 2024-01-01 DOI:10.1097/PRA.0000000000000755
Mehmet Murat Kirpinar, Omer Faruk Demirel
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Abstract

Introduction: Depressive symptoms are common in schizophrenia and can be seen at any stage of the disease. Although various models have been proposed to explain the development of depression in schizophrenia, studies investigating related psychological factors are scarce and the studies that have been done usually focus on only a small number of possible factors.

Objective: The goal of this study was to investigate the predictability of some psychological factors on depression in patients with schizophrenia. For this purpose, patients with high and low depression scores were compared.

Methods: Two groups of individuals with schizophrenia, with (n=29) and without (n=31) depression, as determined by scores on the Calgary Depression Scale in Schizophrenia, were compared using a sociodemographic data form, the Positive and Negative Syndrome Scale (PANSS), the Beck Anxiety Inventory, the Rotter Internal-External Locus 2024 of Control Scale, the Multidimensional Scale of Perceived Social Support, and the Stress Coping Styles Scale.

Results: No differences were found between the 2 groups in terms of sociodemographic and clinical characteristics, social support scores, and coping styles. Statistically significant differences were found between the groups on the PANSS positive, negative, and general psychopathology subscales, in PANSS total scores, in anxiety scores, and in locus of control scores.

Conclusions: This study showed that high levels of negative, positive, and general psychopathological symptoms, external locus of control, and high anxiety scores may be predictive of depression in individuals with schizophrenia. Studies that examine psychological factors in larger patient groups may provide the opportunity to detect and target these factors earlier in the course of schizophrenia, thereby reducing morbidity and mortality.

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精神分裂症患者抑郁症状与心理变量之间的关系。
导言抑郁症状是精神分裂症的常见症状,可出现在疾病的任何阶段。尽管人们提出了各种模型来解释精神分裂症患者抑郁的发生,但对相关心理因素的研究却很少,而且已完成的研究通常只关注少数可能的因素:本研究旨在探讨一些心理因素对精神分裂症患者抑郁的可预测性。为此,我们对抑郁评分较高和较低的患者进行了比较:使用社会人口学数据表、阳性和阴性综合征量表(PANSS)、贝克焦虑量表、罗特尔内外部控制点量表、感知社会支持多维量表和压力应对方式量表,对两组精神分裂症患者(29 人)和无抑郁患者(31 人)(以卡尔加里精神分裂症抑郁量表得分为准)进行比较:两组在社会人口学和临床特征、社会支持得分和应对方式方面没有差异。在 PANSS 阳性、阴性和一般精神病理学分量表、PANSS 总分、焦虑得分和控制中心得分方面,两组之间存在统计学意义上的显著差异:本研究表明,高水平的阴性、阳性和一般精神病理症状、外部控制和高焦虑评分可能是精神分裂症患者抑郁的预测因素。在更大的患者群体中对心理因素进行研究,可能会有机会在精神分裂症病程的早期发现并针对这些因素进行治疗,从而降低发病率和死亡率。
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来源期刊
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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